CLINTON FAMILY CARE LLC
NPI 1396811527
Family Medicine in Clinton, MS

Active since November 28, 2006CLIA 25D0994418 · Certificate of Compliance
309A MORRISON DR, CLINTON, MS 39056(601) 924-1877(601) 924-1871 Get Directions Write a Review

NPPES record last updated: February 18, 2009. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Clinton Family Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CLINTON FAMILY CARE LLC (NPI 1396811527) is a healthcare organization registered as a family medicine in Clinton, Mississippi and active in the NPI registry since November 2006. The organization holds a CLIA Certificate of Compliance certificate valid through May 21, 2028 and lists David Brice Wheat, Proprietor, as its authorized official.

NPPES Registry Identity

NPI1396811527
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINTON FAMILY CARE LLC
Location Address309A MORRISON DRClinton, MS 39056-5239
Mailing Address309a Morrison DrClinton, MS 39056-5239 · (601) 924-1877 · Fax (601) 924-1871
Fax(601) 924-1871
Organization SubpartNo
Authorized OfficialDavid Brice WheatProprietor · (601) 924-1877
Enumeration DateNovember 28, 2006
Last NPPES UpdateFebruary 18, 2009
✔ NPI 1396811527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MS · 09202
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
309A MORRISON DR, Clinton, MS 39056

Other Identifiers 4

OtherP00250596 GRP DD7799MS · Medicare Railroad
Medicare UPINC72897MS
Medicare ID-Type UnspecifiedC03331MS · Medicare
Medicaid0114637MS

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Clinton Family Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Clinton Family Care LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1487697561
309 A MORRISON DR
Clinton, MS 39056
(601) 924-1877
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 25D0994418

Clinton Family Care · Clinton, MS
Active · expires May 21, 2028
CLIA Number25D0994418
Laboratory TypePhysician Office
Certificate Effective DateMay 22, 2026
Certificate Expiration DateMay 21, 2028
Laboratory DirectorDavid B. Wheat
Laboratory Phone(601) 924-1877
Laboratory LocationClinton Family Care309A Morrison Dr, Clinton, MS 39056
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Clinton Family Care LLC's NPI number?

The NPI number for Clinton Family Care LLC is 1396811527. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Clinton Family Care LLC located?

Clinton Family Care LLC is located at 309A Morrison Dr, Clinton, MS 39056. The listed phone number is (601) 924-1877.

What is Clinton Family Care LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Clinton Family Care LLC enrolled in Medicare?

Yes. Clinton Family Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Clinton Family Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Clinton Family Care LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Clinton Family Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 25D0994418) is associated with this NPI, valid through May 21, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Clinton Family Care LLC was last updated on February 18, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.